Individual
KATHERINE T JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Mailing address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2313
MA
133V00000X
Registered Dietitian
889623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD0177
BS
MA
Enumeration date
08/02/2006
Last updated
11/19/2007
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